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目的研究危重新生儿转运对提高危重新生儿的抢救成功率,降低新生儿病死率的影响。方法建立沧州市中心医院危重新生儿转运系统,将沧州市所辖15个县市40多家医院产、儿科组成转运网络,对危重新生儿进行转运,部分进行转运前危重病例评分,开展了宫内转运及反向转运。结果我院4年来转运418例危重新生儿,途中无一例死亡,转运后死亡14例,自动出院12例,抢救成功率96.6%。宫内转运26例均成活,成功率100%。反向转运22例,无一例死亡,成功率100%。110例进行新生儿危重病例评分,危重组69例,成活66例,成活率96%;极危重组11例,成活5例,成活率45%。结论迅捷安全的转运工作有效地降低了危重新生儿的病死率。
Objective To study the impact of critically ill neonatal transit on the success rate of rescue of critically ill newborn and the mortality of neonates. Methods The critical neonatal transport system in Cangzhou Central Hospital was established. The production and pediatric departments of more than 40 hospitals in 15 cities and counties of Cangzhou were transferred to the critical neonates for transport. Some critically ill cases were evaluated before delivery. Internal transport and reverse transport. Results Four hundred and seventy-four critically ill newborns were transplanted in our hospital in 4 years. There was no death on the way, 14 died after transfusion, 12 cases were discharged automatically, and the rescue success rate was 96.6%. Intrauterine transfer of 26 cases were alive, the success rate of 100%. Reverse transport of 22 cases, no case of death, the success rate of 100%. 110 cases were critically ill cases of neonatal score, 69 cases of critically ill patients, 66 cases of survival, survival rate of 96%; extremely critically ill 11 cases, 5 cases of survival, the survival rate of 45%. Conclusion Rapid and safe transit effectively reduces the mortality of critically ill newborns.